LA 101-5

Issue 6, 25-July-08
(Amd. 2, 20-Mar-14)

SKIM AKREDITASI MAKMAL MALAYSIA (SAMM)

LABORATORY ACCREDITATION SCHEME OF MALAYSIA

Application Checklist
Note: Please complete this checklist and submit to the Department of Standards Malaysia together
with your application.
Name of Laboratory: ....
No.

Particulars

Application form (LA 201C/T), duly signed and

completed

Scope of accreditation sought attached and

appropriately listed (as per item no. 5a for
testing or 5b for calibration of LA 201C/T)

Legal Status indicated

(ROC certificate provided)

Laboratory Quality Manual submitted

Laboratorys Standard Operating Procedure

(SOP) submitted

Test / Calibration Method submitted

Laboratory Work Instruction submitted (optional)

Curriculum Vitae / Work Experience of key

personnel and nominated signatories submitted

PT information LA 201-4 and LA 1501-3

submitted

10

Internal Audit conducted

11

Management Review conducted

Yes

No

Remark, if any

Confirmed by laboratorys representative (however named)

Name: ...
Signature: ...

Date: ...